Annual Insurer Financial Statement Filing Instructions
Traditional Insurance Company
2012 Vermont Annual Financial Statement Filing Instructions & Forms
Below are forms for the period ending December 31, 2012 and for the first three quarters of 2013 for insurance companies required by statute to file with the department. Included are forms for remitting Annual Statement Filings and license (or authorization) renewal fees.
Please note:
The instructions on this page do NOT apply to Vermont Captive Insurers or Foreign Risk Retention Groups. For annual filing instructions for Captive Insurers or Foreign Risk Retention and Risk Purchasing Groups, please click here.
INDEX OF 2012 FORMS FOR FILING IN 2013:
2012 - Section 1: General Instructions
2012 - Section 2: Annual Fee Calculation
2A - Annual Fees for L&H, P&C, Health, Reciprocals, and Title Insurers
2B - Annual Fees for Fraternal Benefit Societies
2C - Annual Fees for Foreign Accredited Reinsurers
2012 - Section 3: Health Care Administration Supplemental Filing
Also known as Annual Statement Supplement Report (ASSR)
2012 -Section 4: Vermont Mandatory Reporting (Liquor Liability Report)
2012 - Section 5: Checklists - Filings with Notes
5A - Life, Accident & Health
5B - Property & Casualty, and Reciprocals
5C - Health Entities (Insurers, HDMI's & HMO's)
5D - Title Insurers
5E - Fraternal Benefit Societies
5F - Foreign Surplus Lines Insurers - no longer required
5G - Foreign Accredited Reinsurers
Regarding NRRA Federal Legislation
5H - Alien Surplus Lines Insurers - no longer required
5I - Alien Accredited Reinsurers
5J - Life Settlement Providers
NEW FORM FOR 2013
